Surgical instrument for removing an implanted object
Methods and devices for separating an implanted object, such as a pacemaker lead, from tissue surrounding such object in a patient's vasculature system. Specifically, the tissue separating device includes a handle, an elongate sheath and a circular cutting blade that may extend from the distal end of the sheath upon actuating the handle. The elongate sheath, particularly its distal end, includes a non-uniform wall thickness having one or more thicker portions in the outer sheath, particularly the outer cam member, and/or one or more thicker portions in an inner member disposed radially inward of the blade.
1. A device for removing an implanted object from a body vessel, the device comprising:
a handle;
a trigger movably coupled to the handle;
an elongated sheath extending from the handle, the elongated sheath comprising a proximal end, a distal end, and a lumen extending from the distal end toward the proximal end, wherein the lumen is configured to receive an implanted object, the elongated sheath further comprising a proximal portion and a distal portion;
a tubular outer member attached to the distal portion of the elongated sheath, wherein at least one portion of the tubular outer member has a non-uniform circumferential wall thickness that is thicker at a distal end of the tubular outer member than at a proximal end of the tubular outer member;
a tubular inner member located within the tubular outer member, the tubular inner member comprising a proximal end, a distal end and an exterior surface therebetween, the distal end comprising a cutting surface; and
an actuator disposed within the handle, the actuator comprising a linear slide coupled to the trigger, such that upon movement of the trigger relative to the handle, the tubular inner member rotates and the distal end of the tubular inner member moves axially and extends distally beyond the tubular outer member.
2. The device of claim 1 wherein the linear slide comprises a rolling ring bearing and an unthreaded shaft, wherein the unthreaded shaft is coupled to the tubular inner member.
3. The device of claim 1 , wherein the non-uniform circumferential wall thickness comprises a first segment and a second segment, wherein the first segment has a thickness greater than the second segment.
4. The device of claim 3 , wherein the first segment is disposed opposite the second segment along a cross section of a circumference of the tubular outer member.
5. The device of claim 3 , wherein the tubular outer member comprises an outer surface, and wherein the first segment transitions to the second segment without interruption on the outer surface.
6. The device of claim 3 , wherein at least one of the handle and the elongated sheath comprise an indicator indicative of a location of at least one of the first segment and the second segment.
7. The device of claim 1 , wherein the non-uniform circumferential wall thickness comprises a first segment, a second segment, and a third segment, wherein the first segment and the second segment have a thickness greater than the third segment.
8. The device of claim 7 , wherein the first segment and the second segment have a substantially similar thickness profile.
9. The device of claim 1 , wherein the tubular outer member has a proximal end portion and a distal end portion, wherein the at least one portion of the tubular outer member having the non-uniform circumferential wall thickness is located at least at the distal end portion.
10. The device of claim 9 , wherein the at least one portion of the tubular outer member having the non-uniform circumferential wall thickness comprises a first segment having a thickness greater than a second segment.
11. The device of claim 9 , wherein the at least one portion of the tubular outer member having the non-uniform circumferential wall thickness comprises a first segment, a second segment, and a third segment, wherein the first segment and the second segment have a thickness greater than the third segment.
12. The device of claim 1 , wherein the tubular inner member is a first tubular inner member, and further comprising a second tubular inner member, wherein at least one portion of the second tubular inner member has a non-uniform circumferential wall thickness.
13. The device of claim 12 , further comprising a third tubular member located within the tubular inner member, wherein at least one portion of the third tubular member has a non-uniform circumferential wall thickness.
14. The device of claim 12 , wherein the non-uniform circumferential wall thickness of the third tubular member comprises a first segment and a second segment, wherein the first segment has a thickness greater than the second segment.
15. The device of claim 14 , wherein the non-uniform circumferential wall thickness comprises a first segment and a second segment, wherein the first segment has a thickness greater than the second segment.
16. The device of claim 15 , wherein the first segment is disposed opposite the second segment along a cross section of a circumference of the second tubular inner member.
17. The device of claim 1 further comprising a pin attached to the tubular outer-member and extending inwardly thereof.
18. The device of claim 11 wherein the exterior surface of the tubular inner member comprises a cam slot for receipt of and cooperation with the pin upon actuation of the trigger.